For Physicians

Bring Hyperbaric Therapy Into Your Practice

Designed for real-world clinical workflows — without hospital-level infrastructure.

Why This Matters for Your Practice

Hyperbaric oxygen therapy is an established treatment modality. Here's why physician-office integration matters.

Access Gap

Fewer than 1,400 HBOT facilities exist nationwide compared to 500,000+ physician practices. Most patients lack convenient access to this therapy.

Patient Retention

HBOT typically requires 20-40 sessions per treatment course. Providing therapy in-office keeps patients within your care continuum.

Clinical Outcomes

FDA-cleared for 14 indications including wound healing, radiation injury, and carbon monoxide poisoning. Reimbursement pathways exist for eligible indications under Medicare and many commercial insurers.

Designed for Seamless Integration Into Your Practice

The RxAir360 system is engineered for straightforward implementation within established medical practices, requiring minimal facility modification while expanding your therapeutic capabilities.

Minimal Facility Changes

Compact, single-occupancy design fits standard exam rooms or procedure spaces without structural modifications.

Physician-Controlled Protocols

Treatment parameters managed through your practice's clinical workflows with integrated safety monitoring.

Expanded Clinical Capability

Add an evidence-based adjunctive therapy to your treatment protocols for appropriate patient populations.

Medical professional and nurse with patient entering a blue hyperbaric oxygen chamber in a clinical treatment room

HBOT in a Clinical Reimbursement Environment

Hyperbaric oxygen therapy is delivered across a range of environments, but insurance reimbursement is generally associated with treatment provided within a clinical framework that meets established medical, documentation, and supervision requirements.

RxAir360 is designed to support physician-directed clinical delivery of HBOT, aligning with the operational structure typically required for reimbursement in outpatient medical settings.

This distinction is important when evaluating how hyperbaric therapy may be integrated into a practice.

Physicians evaluate HBOT integration based on patient volume and scheduling capacity

Illustrative Utilization in Practice

The following scenarios illustrate how varying utilization levels affect treatment throughput and reimbursement.

Patients / Day Treatments / Week Treatments / Year Illustrative Revenue*
4 20 960 $384,000
6 30 1,440 $576,000
8 40 1,920 $768,000

Assumptions: 48 weeks per year × 5 days per week × $400 average reimbursement per treatment

These scenarios reflect varying levels of clinical utilization and scheduling intensity.

Disclaimer: Illustrative only. Actual results vary based on payer mix, reimbursement rates, clinical indications, and practice-specific factors. This information is provided for general educational purposes and does not represent a guarantee of financial performance.

How It Fits Into Your Workflow

The RxAir360 system is designed for the standard physician office environment, pending FDA 510(k) clearance.

Note: The RxAir360 system is currently in development and has not yet received FDA 510(k) clearance. The workflow described below represents the intended treatment protocol following regulatory approval.

Physical Requirements

Footprint

10' × 12' — compatible with standard exam rooms

Power Requirements

Standard 220V outlet — no special electrical work required

Entryway Access

Vertical design allows for in-room positioning and patient access

Treatment Protocol

Sessions typically 60-90 minutes; staff training provided

Treatment Workflow

1

Patient Evaluation

Physician assesses indication and determines treatment protocol

2

Session Preparation

Patient enters chamber; staff initiates compression protocol

3

Treatment Delivery

Automated monitoring throughout session; real-time safety systems active

4

Decompression & Follow-up

Gradual decompression; documentation and next session scheduling

Flexible Staffing for Clinical Operations

Hyperbaric oxygen therapy chambers can be operated by trained clinical staff — physicians do not need to personally operate the system. Staff training pathways are available to support implementation.

  • Trained technicians or clinical staff can operate the chamber, allowing physicians to focus on patient care

  • Physician-directed protocols with trained clinical staff support during operations

  • Training programs exist to help staff develop the skills needed for hyperbaric operations

What Implementation Looks Like

From initial inquiry to operational capability, here's the general process.

1

Inquiry

Submit consultation request; receive initial information

2

Consultation

Discuss practice fit, space assessment, and clinical protocols

3

Site Planning

Space evaluation, electrical requirements, staff training schedule

4

Installation

Equipment delivery, setup, certification, and operational training

Key Considerations

Staff certification requirements vary by state and facility type

Documentation and billing protocols align with existing EMR systems

NFPA-99 and PVHO-1 compliance requirements apply

Facility classification determines regulatory pathway

Reimbursement varies by payer and clinical indication

Prior authorization requirements depend on payer policies

Insurance & Reimbursement FAQ

Everything you need to know about billing and reimbursement for hyperbaric oxygen therapy.

Is HBOT covered by insurance?

Hyperbaric oxygen therapy (HBOT) may be covered by Medicare, Medicaid, and private insurers when used for specific indications recognized by CMS and supported by clinical guidelines.

Coverage is subject to:

  • Patient diagnosis
  • Medical necessity
  • Payer-specific policies

Common covered indications include:

  • Diabetic wounds of the lower extremities
  • Radiation tissue injury
  • Certain acute traumatic injuries such as crush injuries and burns

Coverage determinations are made by the payer and may vary.

What CPT and HCPCS codes are used for HBOT billing?

Facility Services:
HBOT facility services are commonly billed under HCPCS code G0277, typically in 30-minute intervals.

Physician Supervision:
Physician supervision during treatment may be billed under CPT 99183, generally one unit per treatment session.

Coding and billing practices may vary based on payer requirements and clinical protocols.

What is the typical reimbursement for a treatment session?

Reimbursement for HBOT services varies based on:

  • Geographic location
  • Payer mix (Medicare, Medicaid, private insurance)
  • Number of units billed
  • Facility vs. professional components

A typical treatment session may include multiple units of G0277 (facility) and one unit of CPT 99183 (physician supervision).

Medicare reimbursement rates are established by CMS and updated annually.

Actual reimbursement amounts vary and should be evaluated based on individual practice and payer contracts.

Note: Practices typically evaluate reimbursement scenarios based on utilization, payer mix, and clinical indications.

Detailed reimbursement considerations are reviewed during physician consultations.

What documentation is needed for insurance claims?

Documentation requirements generally include:

  • Patient history and diagnosis
  • Medical necessity and treatment plan
  • Informed consent
  • Treatment session records

Standardized documentation processes are commonly used to support compliance and streamline clinical workflows.

Explore How This Could Fit Your Practice

Request a physician briefing to review clinical considerations, workflow alignment, and how hyperbaric therapy may be integrated into an outpatient setting.

Receive an overview of clinical integration considerations and current development status.